| Malissa K Crowe, Llc | |
|
120 Sagamore Pkwy W West Lafayette Bra IN 47906-1569 | |
| (765) 491-6175 | |
| (765) 743-5850 |
| Full Name | Malissa K Crowe, Llc |
|---|---|
| Speciality | Counselor |
| Location | 120 Sagamore Pkwy W, West Lafayette Bra, Indiana |
| Authorized Official Name and Position | Malissa K Crowe (SOLE PROPRIETOR) |
| Authorized Official Contact | 7654916175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malissa K Crowe, Llc 1351 S Sharon Chapel Rd West Lafayette Bra IN 47906-4342 Ph: (765) 491-6175 | Malissa K Crowe, Llc 120 Sagamore Pkwy W West Lafayette Bra IN 47906-1569 Ph: (765) 491-6175 |
| NPI Number | 1811071046 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365448503 |
|---|---|
| Medicare Enrollment ID | O20200922001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811071046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 34005071A (Indiana) | Primary |
| Provider Name | Malissa K Crowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114965563 PECOS PAC ID: 6204839723 Enrollment ID: I20201015000412 |
Thomas B. Mchenry Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 E Sunset Ln, West Lafayette Bra, IN 47906 Phone: 765-404-6583 | |
Helen Seifert Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Sagamore Pkwy W, West Lafayette Bra, IN 47906 Phone: 765-714-2434 Fax: 765-497-2440 | |
Elizabeth H. Akey, Phd Psychologist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Sagamore Pkwy W, West Lafayette Bra, IN 47906 Phone: 763-463-3016 Fax: 765-463-2710 |